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이병욱 외 중앙대학교 의과대학 의학연구소 2011 中央醫大誌 Vol.36 No.1/2
Behçet's disease is an idiopathic systemic vasculitis which manifests with recurrent oral or genital ulcer, various skin lesions and ocular lesions. The strategies of treatment for Behçet's disease frequently include various immunosuppressants, such as systemic steroids, azathioprine, cyclosporine A, cyclophosphamide, and infliximab. These immunosuppressive agents attenuate the cell-medicated immunity of hosts and predispose them to the development of tuberculosis. Cases in which pulmonary tuberculosis, intestinal tuberculosis, and tuberculous meningoencephalitis are developed in Behçet's disease patients who had been taking immunosuppressive drugs, including corticosteroids, are frequently reported worldwide. However, no case has been reported in which tuberculous lymphadenitis was concurrently diagnosed with Behçet's disease, especially in a patient who is not under immunosuppressive therapy. We describe here the case of a 28-year-old woman presenting fever who was simultaneously diagnosed as having Behçet's disease and tuberculous cervical lymphadenitis.